North Kirklees Details

Functions

Early supported discharge/transfer to the most appropriate environment.

These are underpinned by self-management, Maximising Independence, and enabling people to live independently.

Outcomes

Care is co-ordinated and seamless

Nobody is kept in hospital or residential care unnecessarily

Care is cost effective and within available budgets

People are supported and in control of their condition and care, enjoying independence for longer

All staff understand the system and work in it effectively

Unpaid carers are prepared and supported to care for longer

As an outcomes based contract, Locala as lead provider is assessed on success through the delivery of these outcomes. To determine whether these outcomes have been met, there is a comprehensive suite of key performance indicators together with targets within the contract. Locala will report against these KPIs to the CCGs and this will be monitored through the contracting and clinical quality management governance structure established across both CCGs.

Community beds - access to beds which can be usedflexibly to meet holistic needs of the patient

Current provision intermediate care beds.

Nursing, adults & children

District Nurse, community matron, nurse practitioner as examples

Specialist Nursing, adults & children

Includes for example (not limited to):

Tissue Viability

Continence

Heart Failure

ESD COPD

Dementia

TB

Rehabilitation

Cardiac Rehab

Pulmonary Rehability

Stroke

Therapy

Occupational Therapy

Physio Therapy

Podiatry

Dietetics and issues

Speech & Language Therapist (both adult and children)

Co-ordination and integration with Speech and Language Dietitions, Podiatry functions